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Posttraumatic posterior tibialis tendon insertional elongation with functional incompetency: a case report
1Department of Orthopaedic Surgery, The Union Memorial Hospital, Baltimore, Maryland, USA.
Foot & Ankle International
|May 30, 1998
Summary
This case report details a posterior tibial tendon rupture causing flatfoot in a basketball player. Surgical repair successfully restored ankle function and alignment.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Foot and Ankle Reconstruction
Background:
- Posterior tibial tendon dysfunction (PTTD) can lead to progressive pes planovalgus.
- Intrasubstance rupture, though less common, is a significant cause of PTTD.
Observation:
- A 25-year-old basketball player experienced ankle weakness and pain three months post-severe ankle sprain.
- Clinical presentation suggested distal intrasubstance rupture of the posterior tibial tendon.
Findings:
- Surgical intervention involved advancement of the posterior tibial tendon to the navicular bone.
- Medial displacement osteotomy of the calcaneal tuberosity was performed to correct alignment.
Implications:
- This combined surgical approach effectively restored alignment and strength in the affected ankle.
- Successful functional recovery was achieved, allowing the patient to return to full activity.